<div class="information_inner2" style="margin-top: 0px !important;">
	<div class="go_back">
		<a href="<?php echo base_url().BASE ?>join_as" title="<?php echo $static_info['go_back'] ?>"> </a>
	</div>
	<?php echo form_open(base_url().BASE.'join_as_submit', array('id' => 'join_as_form', 'autocomplete' => 'off')); ?>
		<?php $this->session->set_userdata('new_data', $this->session->userdata('member_data')); 
		$join_data = $this->session->userdata('member_data');
		$member_join = $this->session->userdata('member_type');?>
		
		
		<div class="member_join_as_form2">
			<?php echo $static_text['we_are'] ?> <span class="institute content_pink"><?php if($this->session->userdata('member_data')) echo substr($join_data['institute_1'], 0, 14).'..'; else echo $label['ints_name'];  ?></span>
			<br>
			<?php echo $static_text['we_are_located'] ?> <span class="city content_blue"><?php if($this->session->userdata('member_data')) echo $join_data['city_1']; else echo "City";  ?></span>, <span class="state content_pink"><?php if($this->session->userdata('member_data')) echo $join_data['state_1']; else echo "State";  ?></span>
			<br>
			<?php echo $static_text['we_are_reached'] ?>
			<input type="text" name="email" id="email" value="<?php if(isset($input_data['email'])) echo $input_data['email']; elseif($this->session->userdata('member_data') && $this->session->userdata('user_email')=='' ) {echo $join_data['email'];} else echo $this->session->userdata('user_email'); ?>" placeholder="Email" class="textfield content_blue blue" data-autosize-input='{ "space": 20 }'>
			<?php echo $static_text['or'] ?>
			<input type="text" name="phone" id="phone1" value="<?php if(isset($input_data['phone1'])) echo $input_data['phone1']; else echo $join_data['phone1']; ?>" placeholder="Phone" class="textfield content_pink pink" data-autosize-input='{ "space": 16 }'>
			<br>
			<?php echo $static_text['we_are_a'] ?>
		</div>

		<!--select_city starts-->
		<div class="select_city">
			<div class="go_back">
				<a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
	        </div>
			<?php echo $static_text['we_are_located']; ?>
			<input type="text" id="city_id" maxlength="100" name="city_name" placeholder="City" value="<?php if(isset($input_data['city_name'])) echo $input_data['city_name']; else echo $join_data["city_name"]; ?>" class="textfield content_blue blue" data-autosize-input='{"space":10}' autocomplete="off">
			<input type="hidden" id="city" name="city" value="<?php if(isset($input_data['city'])) echo $input_data['city']; else echo $join_data["city"]; ?>">
			<input type="hidden" id="city_1" name="city_1" value="<?php if(isset($input_data['city_1'])) echo $input_data['city_1']; else echo $join_data["city_1"]; ?>">
			<div class="result_not_found" style="display:none;" id="result_not_found_city"><a href="javascript:void(0);">
				<img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
			</div>
			<br>
			<div id="city_result">
			</div>
		</div>
		<!--select_city closed-->
		<!--select_city starts-->
		<div class="select_institute">
			<div class="go_back">
				<a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
	        </div>
	        <?php echo $static_text['we_are'] ?>
			<input type="text" id="institute_id" maxlength="100" name="institute_name" placeholder="Institute Name" value="<?php if(isset($input_data['institute_name'])) echo $input_data['institute_name']; else echo $join_data["institute_name"]; ?>" class="textfield content_pink pink" data-autosize-input='{"space":25}' autocomplete="off">
			<input type="hidden" id="institute" name="institute" value="<?php if(isset($input_data['institute'])) echo $input_data['institute']; else echo $join_data["institute"]; ?>">
			<input type="hidden" id="institute_1" name="institute_1" value="<?php if(isset($input_data['institute_1'])) echo $input_data['institute_1']; else echo $join_data["institute_1"]; ?>">
			<div class="result_not_found" style="display:none;" id="result_not_found_institute"><a href="javascript:void(0);">
				<img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
			</div><br>
			<div id="institute_result">
			</div>
		</div>
		<!--select_city closed-->
		<!--select_class starts-->
		<div class="select_state">
			<div class="go_back">
				<a href="javascript:void(0);" title="<?php echo $static_info['go_back'] ?>"> </a>
	        </div>
			<?php echo $static_text['we_are_located']; ?>
			<input type="text" id="state_id" maxlength="100" name="state_name" placeholder="State" value="<?php if(isset($input_data['state_name'])) echo $input_data['state_name']; else echo $join_data["state_name"]; ?>" class="textfield content_pink pink" data-autosize-input='{"space":12}' autocomplete="off">
			<input type="hidden" id="state" name="state" value="<?php if(isset($input_data['state'])) echo $input_data['state']; else echo $join_data["state"]; ?>">
			<input type="hidden" id="state_1" name="state_1" value="<?php if(isset($input_data['state_1'])) echo $input_data['state_1']; else echo $join_data["state_1"]; ?>">
			<div class="result_not_found" style="display:none;" id="result_not_found_state"><a href="javascript:void(0);">
				<img src="<?php echo SKIN_URL_IMAGE;?>/submit.png"></a>
			</div>
			<br>
			<div id="state_result">
			</div>
		</div>
		<!--select_class closed-->
		<!--member_join_as starts-->
		<div class="member_join_as">
			<?php $this->load->view('common/institute_nav'); ?>
		</div>
		<!--member_join_as closed-->
		<!--error box starts-->

		<!--error box closed-->
		<!--detailed_form starts-->
		<?php $this->load->view('common/detail_link'); ?>
	<input type="hidden" name="member_type" id="member_type" value="<?php if(isset($member_type)){ echo $member_type;} elseif(isset($member_join)) { echo $member_join;} ?>"  />
	<?php echo form_close(); ?>
	<?php $this -> load -> view('common/error_msg'); ?>	
	<!--detailed_form closed-->
</div>